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General NPI Number Information
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NPI Number | 1861447351
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Entity Type | Individual
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Provider Name | GARY J MORGAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1115 N ROSELLE RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-3730
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Country | US
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Telephone | 847-885-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 167 CAWDOR LN
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City | INVERNESS
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State | IL
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Zip | 60067-8005
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | IL
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